Katherine Marie Barry, MA CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Massena, NY
NPI 1104100924 · NPPES record last updated Sep 29, 2011
Key facts
- NPI
- 1104100924
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 012582 (NY)
- Practice address
- 16 Highland Ave
Massena, NY 13662-1737 - Phone
- (315) 705-4753
- NPI assigned
- Sep 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 012582 | NY | Yes |
Addresses
Primary practice location
16 Highland Ave
Massena, NY 13662-1737
Mailing address
16 Highland Ave
Massena, NY 13662-1737
Phone (315) 705-4753
Other providers in Massena, NY
- Jane Therese Bain
- Bedros Bakirtzian
- Catherine Anna Baldwin
- Francoise Kapinga Bansenga
- Rohit Barreto
- Kimberly J Baublitz
- Jonathan Bellizio
- Anne Carroll Bender
- Rachel Bender
- Scott Allen Bennett
All providers in Massena, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.